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Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 2-4 weeks:

'Like' Facebook's 'Year in Review' function? Many don't http://buff.ly/1rrmFpS - Facebook "Year in Review" feature highlights a larger digital design problem: Algorithms and code aren't intelligent, they just do what they're told.

Students distracted by electronic devices perform at the same level as those who are focused on the lecture http://www.ncbi.nlm.nih.gov/pubmed/25279260?

Using social media offers a host of practical benefits to the modern academic or public intellectual. Look for Powerful tweets that supply original analysis, theoretical insight or historical context. On a basic level, Twitter gets people, including non-­traditional audiences, reading your work. Apply the “billboard test”: imagine that anything you tweet is going to be put up on a sign for the world to see. http://buff.ly/1s3XRUh

Dr. Jeffrey B. Matthews, Professor and Chairman of the Department of Surgery at the University of Chicago: "I would have ZERO trouble convincing our promotions committee that a high visibility blog with high traffic views that had evidence of thought leadership in the public domain would qualify as high impact and outstanding. And that is at the University of Chicago." What do you think of the University of Chicago's progressive stance? Have any other schools taken such steps? http://buff.ly/1BPmIuP

'Instagram for doctors' to be launched in Europe http://buff.ly/1BPpiAS - Will be just as successful as "Facebook for doctors", etc.

Could you be a star blogger or vlogger? The Guardian features successful bloggers, still in high school http://buff.ly/1qwGchr

Utility of a dermatology interest group blog at University of Texas http://buff.ly/1sDvWLa

Ebola, Twitter, and misinformation: a dangerous combination? | The BMJ http://bit.ly/1xXmvFA

The Kardashian index: a measure of discrepant Tiwtter profile and publication record for scientists http://buff.ly/1sOwlZP

Orthopedic patients who use social media have researched their condition prior to visit and travel longer to clinic http://buff.ly/1vze8kj

Uses and abuses of Facebook: A review of Facebook addiction http://buff.ly/1vzeF5B "Some addicts use it to escape from negative moods"

Digital Junk: Food and Beverage Marketing on Facebook http://buff.ly/1vzeW8L - Food brands are hyperactive on Facebook...

The articles were selected from Twitter @DrVes and RSS subscriptions. Please feel free to send suggestions for articles to clinicalcases at gmail.com and you will receive an acknowledgement in the next edition of this publication.

Keeping HIV and AIDS in check: Dr. Keikawus Arastéh is an internist at the Center for Infectious Medicine and HIV of the Berlin-based Auguste-Viktoria-Klinikum. He explains how to recognize an HIV infection, how to avoid contracting it in the first place, and what therapies help keep it in check.

From Deutsche Welle (DW): Dr. Christian Kessler discussed stress and its harmful impact. What are some good ways to relieve stress and relax? And how can meditation help both body and mind cope with stress?

Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 2-4 weeks:

Social media and physicians: Exploring the benefits and challenges. http://buff.ly/1yNZ0iV

Are You Tweeting Away Your Relationship? http://buff.ly/1mN0rqH -- Imagine you invested 50 min a day actively listening to your loved ones.

Will the internet eat your brain? A neuroscientist warns Digital Technologies are Leaving their Mark on our Brains. The scientist is worrying that smartphones and social networks are sucking users into an unsatisfying digital facsimile of reality, frying their memories, atrophying their social skills and generally rotting their brains http://econ.st/1q9ENSr

Family Dinners May Buffer the Effects of Cyberbullying http://buff.ly/1w4ynog

Massive Open Online Courses (MOOCs) on Health and Medicine: Review of what is available http://buff.ly/YacKI4

The majority of You-Tube videos purporting to be about CPR are not relevant educational material http://buff.ly/Yad1L6

9 online safety tips every parent should do for their children - Never ban technology, Set up parental controls from the router and more http://buff.ly/Wbaz5s

Have You Checked Your Online Rating as a Pediatrician? If You Haven’t, Your Patients Probably Have! http://buff.ly/YeY9du

From Blogging to Tweeting to Facebook: researchers can share their successes and see what resonates with the public http://buff.ly/1DS9UHV

To earn money, many professional bloggers have had to embrace sponsored content, breeding distrust among readers. Advertising rates have dropped significantly because advertisers are flooded with options. http://nyti.ms/1BxVBEw

Surgeons are less engaged with social media than other Health Care Professionals http://buff.ly/ZpM7zq

Patients' search for online diagnoses not useful - Fewer than 5% of doctors felt it was helpful http://buff.ly/1tlx699

Google's Eric Schmidt: Medicine will expand its noninvasive technological capabilities, to a point where a transdermal patch might pick up on symptoms before the person does, such as early signs of Alzheimer's, or a troubled heartbeat. "Your phone will call you and say, 'You're going to die, and you need to go to the hospital," Schmidt said. "Then it will call the hospital and say, 'He's coming in 10 minutes" - Cleveland Plain Deale http://buff.ly/1uH6Lbi

The articles were selected from Twitter @DrVes and RSS subscriptions. Please feel free to send suggestions for articles to clinicalcases at gmail.com and you will receive an acknowledgement in the next edition of this publication.

Sometimes, against a uniform, bright background such as a clear sky or a blank computer screen, you might see things floating across your field of vision. What are these moving objects, and how are you seeing them? Michael Mauser explains the visual phenomenon that is floaters.



Eye floaters are called muscae volitantes, Latin for “hovering flies". Floaters are visible because of the shadows they cast on the retina.

View full lesson: http://ed.ted.com/lessons/what-are-those-floaty-things-in-your-eye-michael-mauser

Related reading:

Your Eyes: Understanding Flashes and Floaters - Cleveland Clinic http://buff.ly/1zNgIr8

Texting shrinks peripheral vision to only 10%. "Cell phone use is on the rise and our eyes keep looking down. Try looking up and see what you've been missing."

From TED-Ed: We hear anywhere from 10 to 200 lies a day. And although we’ve spent much of our history coming up with ways to detect these lies by tracking physiological changes in their tellers, these methods have proved unreliable. Is there a more direct approach? Noah Zandan uses some famous examples of lying to illustrate how we might use communications science to analyze the lies themselves.



Lesson by Noah Zandan, animation by The Moving Company Animation Studio.

View full lesson: http://ed.ted.com/lessons/the-language-of-lying-noah-zandan

The color blue suppresses appetite more than any other color. Apart from blueberries and plums, which are mostly purple, there are few naturally blue foods. The hypothesis is that in the remote past, when humans foraged for food, blue was a warning of spoilage or danger.

The Buffet Blues by National Geographic: Everyone loves an all you can eat buffet, but controlling our appetites can be a bit of a struggle. We’re testing to see if a simple change of scenery can impact peoples’ portion sizes.

The highly virulent Ebola virus has seen a few major outbreaks since it first appeared in 1976 -- with the worst epidemic occurring in 2014. How does the virus spread, and what exactly does it do to the body? Alex Gendler details what Ebola is and why it's so hard to study.

Lesson by Alex Gendler, animation by Andrew Foerster. View full lesson:
http://ed.ted.com/lessons/what-we-know-and-don-t-know-about-ebola-alex-gendler

How do the lungs work? TED-Ed video



When you breathe, you transport oxygen to the body’s cells to keep them working, while also clearing your system of the carbon dioxide that this work generates. How do we accomplish this crucial and complex task without even thinking about it? Emma Bryce takes us into the lungs to investigate how they help keep us alive.

Lesson by Emma Bryce, animation by Andrew Zimbelman for The Foreign Correspondents' Club.

Read the full lesson here: http://ed.ted.com/lessons/what-do-the-lungs-do-emma-bryce

What does the liver do?



There’s a factory inside you that weighs about 1.4 kilograms and runs for 24 hours a day. It’s your liver: the heaviest organ in your body, which simultaneously acts as a storehouse, a manufacturing hub, and a processing plant. Emma Bryce gives a crash course on the liver and how it helps keep us alive.

Lesson by Emma Bryce, animation by Andrew Zimbelman for The Foreign Correspondents' Club.

Fibromuscular dysplasia (FMD) is an angiopathy that affects medium-sized arteries predominantly in young. Renal involvement occurs in 60-75%, cerebrovascular involvement in 25-30%, visceral involvement in 9%, and arteries of the limbs in about 5%.



Cleveland Clinic physician, Dr. Gornik and Pam Mace from FMDSA answer questions about fibromuscular dysplasia (FMD) on this spreecast video chat (6/2014).

References:

Fibromuscular Dysplasia (FMD): Causes, Types, Symptoms and Treatment - Cleveland Clinic http://bit.ly/1sRTXKw

Thanks to St. Michael's Hospital http://www.stmichaelshospital.com, Health Quality Ontario http://www.hqontario.ca, and Institute for Healthcare Improvement http://www.ihi.org

Check out our new website http://www.evanshealthlab.com/
Follow Dr. Mike for new videos: http://twitter.com/docmikeevans

Dr. Mike Evans is a staff physician at St. Michael's Hospital and an Associate Professor of Family Medicine. He is a Scientist at the Li Ka Shing Knowledge Institute and has an endowed Chair in Patient Engagement and Childhood Nutrition at the University of Toronto.

Written, Narrated and Produced by Dr. Mike Evans
Illustrations by Liisa Sorsa
Directed and Photographed by Mark Ellam
Produced by Nick De Pencier
Editor, David Schmidt
Story/Graphic Facilitator, Disa Kauk
Production Assistant, Chris Niesing
Director of Operations, Mike Heinrich

©2014 Michael Evans and Reframe Health Films Inc.

From DW: "Handwritten texts are experiencing a boom. A Berlin startup offers invitations, cards and love letters written by hand: it's more personal and original. And calligraphers who copy famous people's handwriting or important documents are more in demand than ever."

This CDC video provides information about the leading causes of death in the U.S. and where we may be in 2030, if we continue down the current path. It suggests small steps that providers can take now to make a difference in the future health of our nation.

This BMJ study found that police officers’ risk of sudden cardiac death (SCD) was 34 to 69 times higher during restraints or altercations; 32 to 51 times higher during pursuits; 20 to 23 times higher during physical training; and 6 to 9 times higher during medical or rescue operations, as compared with routine or non-emergency activities. The researchers also found that SCD accounts for up to 10% of all U.S. on-duty police deaths.



References:

Law enforcement duties and sudden cardiac death among police officers in United States: case distribution study. BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g6534 (Published 18 November 2014).
http://www.bmj.com/content/349/bmj.g6534

Chefs and authors discuss the importance of the communal meal:



The Future of Food. Chefs Jose Andres and Barton Seaver talk about the importance of food as a resource and how we can save it:

Along with parking and steering, parents also need to teach teenagers how to spot crash hazards. WSJ's Sue Shellenbarger and Tanya Rivero discuss some tips.

In this video, Dr. Timimi discusses the quiet revolution of Twitter in healthcare, including how it can be used in practice and in education. Of time spent online in the US, one in six minutes is spent in a social network. Of the popular social networks, Twitter is one of the best introductory platforms, with one in five adult Internet users in the United States maintaining a presence on Twitter.

Resistance to antimicrobial drugs is a growing public health concern. Watch this NIAID video to learn more about how antimicrobial resistance develops and what scientists are doing to fight it.

After completing the 2014 New York City Marathon, participants fight through fatigue and physical exhaustion on the streets of Manhattan. Produced by: Deborah Acosta for The New York Times.

Fifty years ago, Eugene Garfield published the Science Citation Index (SCI), the first systematic effort to track citations in the scientific literature. Nature’s news team wondered which were the most highly-cited papers of all time, so asked Thomson Reuters and Google for their top 100. They are not what you might think. Watson and Crick on DNA structure misses out, along with many other historic discoveries. Instead, methods and software papers dominate the lists.

Find out more at nature.com/top100



The discovery of high-temperature superconductors, the determination of DNA’s double-helix structure, the first observations that the expansion of the Universe is accelerating — all of these breakthroughs won Nobel prizes and international acclaim. Yet none of the papers that announced them comes anywhere close to ranking among the 100 most highly cited papers of all time.

It takes a staggering 12,119 citations to rank in the top 100 — and that many of the world’s most famous papers do not make the cut.

The most cited work in history, for example, is a 1951 paper describing an assay to determine the amount of protein in a solution. It has now gathered more than 305,000 citations — a recognition that always puzzled its lead author...

Would mathematics exist if people didn't? Did we create mathematical concepts to help us understand the world around us, or is math the native language of the universe itself? Jeff Dekofsky traces some famous arguments in this ancient and hotly debated question.

Multi-dose flu shot has only 25 mcg of mercury - most commercial fish contain 23 mcg of mercury per 8 ounces of fish http://buff.ly/11CTRPw

Are multi-dose vials less expensive?

Economics are a bit complicated due to wastage with multiple vials:

Single versus multi-dose vaccine vials: an economic computational model
http://www.ncbi.nlm.nih.gov/pubmed/20566395

Most of the Western world, apart from the US, has moved on to single vials:
http://www.medscape.com/viewarticle/733986

Whenever possible, CDC recommends that single-use vials be used and that multi-dose vials of medication be assigned to a single patient to reduce the risk of disease transmission (http://www.cdc.gov/injectionsafety/patients/syringeReuse_faqs.html).

Where to get a thimerosal/mercury-free flu shot?

Many local Costco stores carry only single vials and the cost is $14.99 if no insurance is used. The availability of additional options may improve immunization rates.

Search for a Costco pharmacy near you here, and call them to verify availability: Warehouse Locations - Costco: www.costco.com/warehouse/locator.aspx

Personal Flu Stories - CDC:



Each year in the US, nearly 20,000 children under age 5 are hospitalized due to flu-related complications. CDC recommends that children aged six months through 18 years old get a flu vaccination. Moving personal stories help parents and caregivers learn about the dangers of influenza to children and the benefits of vaccination.

Image source: Influenza virus, Wikipedia, public domain.

Given the importance of a good night's sleep, how do you pick the best possible bedtime? WSJ's Heidi Mitchell and Stanford University's Dr. Rafael Pelayo discuss with Tanya Rivero.



Related:

What Makes A Great Bedtime? | Craig Canapari, MD http://bit.ly/1vstZzJ
Shift workers and people who get jet lag may gain weight because they dusturb their "inside garden" (gut microbes) buff.ly/1vzaXci

A 65-yo female patient received a standard-dose flu shot already this season. Should he get the high-dose shot too? Or try to get a second regular flu shot?

The simple answer is no. The patients should consider herself immunized. Studies show that getting a delayed second dose doesn't necessarily increase antibody response, and there's some concern that it might actually have a negative effect on the immunity. If you've already had the regular seasonal dose, wait until next year for another dose.


Image of the H1N1 Influenza Virus, CDC.

From CDC's Immunize.org website:

Sometimes patients age 65 years and older who have received the standard-dose influenza vaccine hear about the high-dose product (Fluzone High-Dose, sanofi) and want to receive that, too. Is this okay to administer?

No. ACIP does not recommend that anyone receive more than one dose of influenza vaccine in a season except for certain children age 6 months through 8 years for whom two doses are recommended.

Would giving an older patient 2 doses of standard-dose influenza vaccine be the same as administering the high-dose product?

No, and this is not recommended.

References:

New High-Dose Flu Shot for Older Americans: Answers to Flu Season Questions - AARP http://buff.ly/1ttjluQ

Ask the Experts about Influenza Vaccines - CDC experts answer Q&As; http://buff.ly/1ttjn6e

In this video, the BMJ's research team discuss what they look for in a paper submitted for publication.

They discuss some of the pitfalls authors fall into when writing up their research, and how to present some of the information that all journals will require.



More BMJ-specific info here: http://www.bmj.com/about-bmj/resources-authors

Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 2-4 weeks:

15 Lessons from 15 Years of Blogging: Link to everything you create elsewhere on the web. And if possible, save a copy of it on your own blog. Things disappear so quickly, and even important work can slip your mind months or years later when you want to recall it. If it's in one, definitive place, you'll be glad for it.

Always write with the idea that what you're sharing will live for months and years and decades. Having a long-term perspective in mind is an incredibly effective tool for figuring out whether a topic is meaningful or not, and for encouraging a kinder, more thoughtful perspective.

Your blog can change your life in a month. If you want to understand an idea, or become a meaningful voice on a topic, or change your own thinking about a concept, write a little bit about it every day for a month.

http://buff.ly/1pwjuWg

Too many crying babies: a systematic review of pain management practices during immunizations on YouTube http://buff.ly/1j4PHaz

Unprofessional behavior is prevalent among surgical residents who use Facebook (study) http://buff.ly/1j4POCV

Support network: People discussing their weight loss are happier with Twitter (more support, less negativity) than Facebook and in-person relationships http://buff.ly/1j4PUKK

A Facebook teaching forum was set up in a London Hospital for undergraduate medical students: 92% approved http://buff.ly/1j4QacM

Why Wikipedia matters for healthcare: it dominates search results for medical information - BMJ http://buff.ly/1vOMP1Y

YouTube as a source of patient information for lumbar discectomy. http://buff.ly/1qLVd4m

The Anatomy of a Scientific Rumor http://buff.ly/TP1v4K

Email Alerts Services You Should Use http://buff.ly/TP2yBC

Are You Tweeting Your Marriage Away? Time spent on social media can create friction in relationships (study) http://buff.ly/1ooRKmc

Twitter: an opportunity for public health campaigns : The Lancet http://buff.ly/U7drPJ

Do you "like" my photo? Facebook use may increase eating disorder risk http://buff.ly/WqD284

Cleveland Clinic has a blog for patients - Health Hub http://buff.ly/1yHsRtt and a blog for physicians - Consult QD http://buff.ly/1yHsr6g

The articles were selected from Twitter @DrVes and RSS subscriptions. Please feel free to send suggestions for articles to clinicalcases at gmail.com and you will receive an acknowledgement in the next edition of this publication.